Nokea
Communication is the process of informing.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Communication involves more than just informing; it includes exchanging and interpreting information, ideas, and emotions.
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The C step of the DESC method is optional, depending on the circumstances. Explain what the C step is and why it may be needed.
- A. The C step involves stating consequences to emphasize accountability if the behavior continues.
- B. The C step involves apologizing to maintain rapport.
- C. The C step involves clarifying the behavior again.
- D. The C step involves suggesting alternative behaviors.
Correct Answer: A
Rationale: The C step (consequences) may be needed to underscore the importance of changing the behavior, particularly in serious or repeated issues.
You are helping bathe a 27-year-old female patient who has had back surgery. Of the following, which is the best way to communicate your respect for the fact that you are 'invading' her personal space?
- A. Pull the curtains so no one can see you or the patient while you help with her bath.
- B. Pull the curtains, give her a dry towel, and tell her she can use it to 'cover up.'
- C. Pull the curtains and ask her how you can help her.
- D. Pull the curtains and tell her to wash her face and hands, then you will wash her back, and then she can 'finish.'
Correct Answer: B,C
Rationale: Pulling the curtains ensures privacy, and offering a towel to cover up respects her dignity. Asking how you can help involves her in the process, further showing respect.
You need to understand that your work reflects on me.'
- A. Assertive
- B. Avoidant
- C. Aggressive
- D. None of the above
Correct Answer: C
Rationale: This statement is aggressive as it implies blame and focuses on personal impact rather than addressing the issue constructively.
A patient on your unit is very angry and hard to care for. She frequently belittles her caretakers. You have taken care of her for 2 days and ask the nurse manager to assign the patient to someone else. The nurse manager does as you ask, but the nurse she chooses comes to you and says, 'This isn't fair at all! She is your patient, and you are dumping her on me!' Which of the following alternatives is the best way to begin to resolve this conflict?
- A. Go back to the nurse manager and ask her to smooth things out.
- B. Tell the nurse privately that you needed an emotional break from the patient.
- C. Apologize to the nurse, take the patient back, and give the nurse one of the patients that had been assigned to you.
- D. Suggest that the nurse has not had the patient in a while and that it is her turn.
Correct Answer: B
Rationale: Explaining the need for an emotional break fosters understanding and opens a constructive dialogue to resolve the conflict.
How can you communicate in an urgent situation?
- A. Use the SBAR communication format, which, if followed, will cover all aspects of communicating in a crisis.
- B. Use the SBAR format, allow your voice to reflect the urgency of the situation, and make sure your movements are purposeful and focused.
- C. Allow your voice to reflect the urgency of the situation, make sure your movements are purposeful and focused, and inform others of what you think is wrong.
- D. Allow your voice to reflect the urgency of the situation, make sure your movements are purposeful and focused, and let the most senior person in the room do the communicating.
Correct Answer: B,C
Rationale: Using the SBAR format ensures clear, structured communication, while purposeful movements and an urgent tone convey the situation's seriousness without deferring to seniority.